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Individual

SMITHA GUDIPATI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Mailing address
1000 HOUGHTON AVE, SAGINAW, MI 48602

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301501771
MI
207RI0200X
Infectious Disease Physician
Primary
4301501771
MI

Other

Enumeration date
12/04/2015
Last updated
12/06/2023
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